Can incident report learning predict incident reporting attitude and satisfaction among nursing home staff?

Abstract

<p><strong>Purpose: </strong>The purpose of this study is to evaluate the prediction of incident reporting learning to incident reporting attitude and incident reporting satisfaction among nursing staff and administrators in nursing homes.</p> <p><strong>Methods: </strong><span lang="EN-US">This study was a cross-sectional survey conducted in nursing homes&nbsp;located in&nbsp;<span lang="EN-US">south Taiwan</span><span lang="EN-US">.</span><span lang="EN-US">&nbsp;Questionnaires&nbsp;</span><span lang="EN-US">were distributed to 146 full-time working nurses,&nbsp;</span><span lang="EN-US">nursing assistants</span><span lang="EN-US">&nbsp;and&nbsp;</span><span lang="EN-US">administrators,&nbsp;</span><span lang="EN-US">who&nbsp;had&nbsp;</span><span lang="EN-US">voluntarily</span><span lang="EN-US">&nbsp;participated</span><span lang="EN-US">&nbsp;and worked&nbsp;</span><span lang="EN-US">in 11&nbsp;</span><span lang="EN-US">nursing homes</span><span lang="EN-US">. Data were collected by&nbsp;</span><span lang="EN-US">the</span><span lang="EN-US">&nbsp;</span><span lang="EN-US">scales of incident reporting attitude, incident reporting learning, and incident reporting satisfaction with 5-</span><span lang="EN-US">point</span>&nbsp;<span lang="EN-US">Likert scale. Three scales&nbsp;<span lang="EN-US">of incident reporting attitude, incident reporting learning, and incident reporting satisfaction&nbsp;</span>composed 9 questions, 25 questions and 10 questions in their order. All scales were newly developed for pursuing the study aim and tested for the content validity and reliability in this&nbsp;study. Content validity indexes of the</span><span lang="EN-US">&nbsp;</span><span lang="EN-US">scales of incident reporting attitude, incident reporting learning, and incident reporting satisfaction were 1.0, 0.96 and 0.92 separately. Coefficients of Cronbach&rsquo;s alpha of t</span><span lang="EN-US">he&nbsp;</span><span lang="EN-US">scales of incident reporting attitude, incident reporting learning, and incident reporting satisfaction were .93, .93, and .91 in their order. The SPSS 19.0 version software was used&nbsp;for statistical&nbsp;analysis, and&nbsp;descriptive and inferential statistics such as mean, standard deviation, percentage,&nbsp;Pearson correlations and stepwise regression were adopted.</span></span></p> <p><strong>Results: </strong>The&nbsp;mean age was 40.7 (&plusmn;10.9) years old for all participants. The average year for current employment among participants was 5.2 (&plusmn;5.1) years. Nurses accounted for 45.2%, nursing assistants accounted for 43.2% and administrators accounted for 11.6% of all participants. The mean score of incident reporting attitude was 35.6 (&plusmn;4.9). Mean score for incident reporting learning was 98.2 (&plusmn;11.0), and mean score for incident reporting satisfaction was 36.9 (&plusmn;5.4). Pearson correlation results showed that moderate associations existed between incident reporting attitude, incident reporting learning, and incident reporting satisfaction (r=0.43-0.65). Results of stepwise regression showed incident reporting learning is the significant predictor for both incident reporting attitude and satisfaction. It explained 38.9% and 31.3% of total variance to incident reporting attitude and satisfaction.</p> <p><strong>Conclusion: </strong>This preliminary study results could be a reference for championing incident reporting learning. Developing a continuing education program in nursing homes for nursing staff to enhance their motivations to learn from reporting incidents is strongly suggested. Furthermore,<strong>&nbsp;</strong>safety culture of nursing homes could transform from punishment to learn through improving peer learning from reporting incidents.</p>